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Linda Turkatte, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 1695 - TEMPORARY EVENT <br />Valid From 10/6/18 To 10/6/18 <br />r THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES I <br />Billing Address: <br />7020.rpt <br />ATTN : ESTRELLA, JULIE <br />LOCO CITY DERBY GIRLS - SUMMER JAM <br />940 S CARROLL AVE <br />STOCKTON CA 95215 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />Facility id FA0023507 <br />Account ID AR0043344 <br />Issued 6/7/2018 <br />PERMIT(s) Valid only for: ESTRELLA, JULIE <br />DBA: LOCO CITY DERBY GIRLS <br />Regulated Facility: LOCO CITY DERBY GIRLS - SUMMER JAM <br />413 E LOCKEFORD ST <br />LODI CA 95242 <br />Permit ID # PT0025195 for Record ID # PR0541054 <br />Valid From 6/9/2018 To 6/9/2018 <br />SAN JOAQUI^^OUNTY ENVIRONMENTAL HEAT/ DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420